Provider Demographics
NPI:1558785907
Name:PYLE, ALYSON MARIE
Entity Type:Individual
Prefix:MRS
First Name:ALYSON
Middle Name:MARIE
Last Name:PYLE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ALYSON
Other - Middle Name:MARIE
Other - Last Name:YBARRA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:3704 E STANFORD AVE
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85234-2906
Mailing Address - Country:US
Mailing Address - Phone:480-343-2596
Mailing Address - Fax:
Practice Address - Street 1:2501 S MARKET ST
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85295-1300
Practice Address - Country:US
Practice Address - Phone:480-224-6911
Practice Address - Fax:480-224-6914
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-05
Last Update Date:2014-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS012230183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist